Therapeutic physical activities session at Champlain Valley Physicians Hospital Medical Center

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC - OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN

Plattsburgh, NY

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Pricing by billing methodology

Price type

How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $138 is 87% above the median hospital's median price ($74), higher than 83% of the 2,559 hospitals reporting CPT 97530. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97530 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 6 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare managed medicaid/essential plans facility · fee schedule · outpatient	$40.69	$40.69	$40.69 – $40.69
2	Blue Cross Blue Shield managed medicaid aliessa facility · fee schedule · outpatient	$42.72	$42.72	$42.72 – $42.72
3	Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges	$43.00	$43.00	$43.00 – $43.00
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$77.40	$77.40	$77.40 – $77.40
5	Blue Cross Blue Shield essential plans/managed medicaid facility · fee schedule · outpatient	$91.55	$91.55	$91.55 – $91.55
6	Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges	$131.15	$131.15	$131.15 – $131.15
7	Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges	$137.60	$137.60	$137.60 – $137.60
8	Blue Cross Blue Shield ind facility · percent of total billed charges · outpatientfrom % of charges	$137.60	$137.60	$137.60 – $137.60
9	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$137.60	$137.60	$137.60 – $137.60
10	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$153.29	$153.29	$153.29 – $153.29
11	Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges	$156.61	$156.61	$156.61 – $156.61
12	Highmark ind/fep facility · percent of total billed charges · outpatientfrom % of charges	$159.10	$159.10	$159.10 – $159.10
13	Highmark ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges	$159.10	$159.10	$159.10 – $159.10
14	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$164.04	$164.04	$164.04 – $164.04
15	Highmark ind/fep facility · per diem · outpatient	$168.70	$168.70	$168.70 – $168.70
16	Highmark ppo/hmo facility · per diem · outpatient	$168.70	$168.70	$168.70 – $168.70
17	MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges	$204.25	$204.25	$204.25 – $204.25

Last updated: Apr 28, 2026

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